MARY GREENE (NPI# 1972675395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972675395 |
| Entity Type | Individual |
| Full Name | MARY GREENE |
| Credential | APRN |
| Practice Address |
55 West Main Street Western Connecticut Mental Health Network Suite 410 Waterbury CT 06702 |
| Practice Telephone | 2038056408 |
| Practice Fax Number | 2038056432 |
| Mailing Telephone | 2038056408 |
| Mailing Fax Number | 2038056432 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 002425 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952788895 | Mary Greene | Counselor | 2772 Mlk Jr. Blvd., Fresno, CA 93706 | 2015-04-29 |
| 1801152699 | Mary Elizabeth Greene | Internal Medicine | 465 Cranbury Rd Ste 201, East Brunswick, NJ 08816-7600 | 2012-04-05 |
| 1609013218 | Mary K Greene | Speech-Language Pathologist | 2988 Cataract St., Copenhagen, NY 13626-0286 | 2009-01-20 |
| 1164607891 | Mary Agnes Greene | Psychologist | 5000 Dry Branch Road, Lexington, KY 40515 | 2007-12-31 |
| 1215152590 | Mary Catherine Greene | Speech-Language Pathologist | 3202 Carriage Dr, Anchorage, AK 99507-2236 | 2007-04-13 |
| 1780807800 | Mary Elizabeth Greene | Counselor | 501 E Delaware Ave, Mcalester, OK 74501-5527 | 2007-04-10 |
| 1417977604 | Mary Morehouse Greene | Counselor | 301 Yadkin St., Stanly Regional Medical Center, Albemarle, NC 28002 | 2006-07-20 |
| 1518469873 | Mary E Greene | Chore Provider | 6725 S Eastern Ave Ste 1, Las Vegas, NV 89119-3949 | 2018-03-02 |
| 1386951895 | Mary Denise Greene | Pharmacist | 9650 Airline Hwy, Baton Rouge, LA 70815-5505 | 2010-09-03 |
| 1316957632 | Mary Ann Greene | Nurse Practitioner | 10701 East Blvd, Cleveland, OH 44106-1702 | 2006-08-09 |
| Street Address |
55 WEST MAIN STREET WESTERN CONNECTICUT MENTAL HEALTH NETWORK SUITE 410 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841225489 | State of Connecticut | Clinic/Center | 55 West Main Street, Suite 410 Rowland State Government Center, Waterbury, CT 06702 | 2006-07-12 |
| 1518139294 | Erik N Derouin | Social Worker | 55 West Main Street, Suite 410 Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2008-04-02 |
| 1174794499 | Carissa Countryman Eddy | Social Worker | 55 West Main Street, Suite 410 Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2008-03-14 |
| 1881739233 | Matthew Gordon Snow | Psychologist | 55 West Main Street, Suite 410, Waterbury, CT 06702 | 2007-02-21 |
| 1295871291 | Robert Milton Stubbs | Social Worker | 55 West Main Street, Suite 410, Waterbury, CT 06702 | 2007-01-29 |
| 1376689331 | Justin S Egan | Social Worker | 55 West Main Street, Western Connecticut Mental Health Network Suite 410, Waterbury, CT 06702 | 2007-01-29 |
| 1588722839 | Honey L Sammartano | Social Worker | 55 West Main Street, Suite 410, Waterbury, CT 06702 | 2006-12-05 |
| 1205902558 | Frank C Pinto | Social Worker | 55 West Main Street, Suite 410, Waterbury, CT 06702 | 2006-11-28 |
| 1023184371 | Paula Zigman | Social Worker | 55 West Main Street, Suite 410 Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2006-11-28 |
| 1558434530 | Cynthia Lynne Krozser | Social Worker | 55 West Main Street, Suite 410 Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780120295 | Melitza Velez | Counselor | 80 Prospect St., Waterbury, CT 06702 | 2017-01-09 |
| 1467813600 | Ashley Joseph | Counselor | 30 Holmes Ave, Waterbury, CT 06702 | 2016-03-16 |
| 1649662313 | Lori Arens | Social Worker | 141 E Main St Fl 4, Waterbury, CT 06702 | 2015-03-04 |
| 1265725584 | Zelda Shleifer | Audiologist | 21 W Main St Fl Place-3, Waterbury, CT 06702 | 2011-05-19 |
| 1700024585 | Charlene Angela Jurgaitis | Durable Medical Equipment & Medical Supplies | 102 Grand Street, Waterbury, CT 06702 | 2009-02-02 |
| 1518090570 | Nathan Z Imre | Pharmacist | 161 East Main St Central Pharmacy, Waterbury, CT 06702 | 2007-03-13 |
| 1922149467 | Rachael A Petitti | Social Worker | 402 East Main Street, Waterbury, CT 06702 | 2007-02-09 |
| 1710024484 | Abbot Terrace Health Center | Assisted Living Facility | 44 Abbott Terrace, Waterbury, CT 06702 | 2007-01-31 |
| 1205994555 | Michael Arcangel Padilla | Social Worker | Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 | 2006-12-05 |
| 1205902723 | Colette M Anderson | Social Worker | 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2006-11-27 |
| Find all providers in zip 06702 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306495858 | Raymond Robert Desrochers Jr. | Clinical Nurse Specialist | 56 Franklin St, Waterbury, CT 06706-1253 | 2019-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407231780 | Anna Gut Aprn LLC | Clinical Nurse Specialist | 770 Saybrook Road Building B, Building A Second Floor, Middletown, CT 06457-4785 | 2015-07-28 |
| 1093151748 | Debra Norinia Wingate-jenkins | Clinical Nurse Specialist | 35 Fawn Ridge Dr, Hamden, CT 06514-4204 | 2013-05-21 |
| 1760544985 | Judith K Molloy | Clinical Nurse Specialist | 141 Newgate Rd, Oxford, CT 06478-1534 | 2006-12-14 |
| 1205917655 | Lynn B Rakos | Clinical Nurse Specialist | Southwest Ct Mental Health System Attn Sandra Grazynski, 1635 Central Avenue, Bridgeport, CT 06610 | 2006-10-18 |
| 1164490587 | Barbara Ann Pascal-gladstone | Clinical Nurse Specialist | 71 Haynes Street, Manchester, CT 06040 | 2006-03-10 |
| 1013483445 | Marian Lois Villaflor | Clinical Nurse Specialist | 20 Wilson St, Fairfield, CT 06825-1419 | 2018-10-24 |
| 1487107421 | Andree De Lisser | Clinical Nurse Specialist | 24 Hospital Ave, Danbury Hospital Psychiatry, Danbury, CT 06810 | 2016-07-26 |
| 1346608692 | Mary Catherine Lavery | Clinical Nurse Specialist | 628 Hebron Ave, Glastonbury, CT 06033 | 2016-02-02 |
| 1114286929 | Victoria Ann Ramik | Clinical Nurse Specialist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2012-05-14 |
| 1780941716 | Bridget Eileen Debartolomeo | Clinical Nurse Specialist | 24 Stevens St, Norwalk, CT 06856 | 2012-04-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.